JKP Balance & Hearing Center, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003621 Issued in GA

Legal business name

JKP BALANCE & HEARING CENTER, LLC

Practice address

465 Winn Way
Suite 231
Decatur, GA 30030-1753

Phone

(404) 484-6305

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tysha Moana Powell, AU.D.NPI 1841474491

Title

Audiologist

Phone

(404) 484-6305

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tysha Moana Powell, AU.D

  • Audiologist
  • Dallas, TX
  • NPI 1841474491
  Authorized official Same address or phone
• Lloyd George Geddes Jr., M.D.

  • Hematology & Oncology Physician
  • Decatur, GA
  • NPI 1730193046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1861662892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CAROLINE ST NE",
            "address_2": "SUITE D120-355",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 231",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-484-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKP BALANCE & HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TYSHA",
        "authorized_official_middle_name": "MOANA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "404-484-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li Jiang, L. AC.
• Jigsaw Consulting Services LLC.
• Jimmy L. Gregory DPM, Inc
• Ahmad K Jingo, MD
• Riyaz Razakali Jiwani, DMD
• JMS Support Services LLC
• JMS Support Services LLC
• Farrah D Jngilles, RRT
• Joe L. Wells, Jr., DDS PC
• Joella Walker LLC

• Audiologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.